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Factors Influencing Chronic Low Back Pain-Related Disability in Patients with Diabetes Mellitus: A Cross-Sectional Study

Year: 2025

Type: article

Abstract: ABS TRACT Objective:To evaluate the factors associated with chronic low back pain (CLBP)-related disability in patients with diabetes mellitus (DM).Material and Methods: Two hundred and twenty-four patients with DM were included in the study between September 2023 and January 2024.Disability related to chronic LBP was evaluated using Oswestry Disability Index (ODI).Pain intensity was assessed using the 100-mm visual analog scale (VAS).Results: The median age of the participants was 56.0 years (interquartile range, 50.0-62.0).The prevalence of chronic LBP was 31.3% in patients with DM.Female patients had a higher median ODI score than in male patients (p=0.002).The median ODI score was higher in patients with diabetic neuropathy than in those without (p=0.004).The ODI score was positively correlated with body mass index (BMI) (r=0.209,p=0.003) and VAS score (r=0.906,p<0.001), and negatively correlated with education duration (r=-0.215,p=0.001).Univariate regression analysis showed that female gender (B=3.594,p=0.010),BMI (B=0.226,p=0.021), duration of education (B=-0.616,p=0.002), duration of DM (B=0.014,p=0.041), and presence of diabetic neuropathy (B=3.861,p=0.018) were associated factors for CLBP-related disability in patients with DM.Multivariate linear regression analysis showed that duration of education was a predictive variable for CLBP-related disability in patients with DM (B=-0.482,p=0.012) (R2=0.036).Conclusion: Clinicians should be aware of the risk factors for CLBP-related disability in patients with DM.Patients with lower years of education, female gender, higher BMI, longer duration of DM, and the presence of diabetic neuropathy should be followed regularly for CLBP-related disability.

Source: Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi

DOI: 10.31609/jpmrs.2024-103656

Authors: Dilek BADAY KESKİN, Sema HEPŞEN, Erman ÇAKAL

Institutions: Kırıkkale University, Ankara Etlik City Hospital

Language: English

Topic: Musculoskeletal pain and rehabilitation

Subfield: Physical Therapy, Sports Therapy and Rehabilitation

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4406934005